Provider Demographics
NPI:1902465735
Name:MEYERS, JORDAN GENE (MD)
Entity Type:Individual
Prefix:MR
First Name:JORDAN
Middle Name:GENE
Last Name:MEYERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 17TH AVE S APT 909
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2784
Mailing Address - Country:US
Mailing Address - Phone:503-438-6174
Mailing Address - Fax:
Practice Address - Street 1:303 LIGHT HALL 215 GARLAND AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-3011
Practice Address - Country:US
Practice Address - Phone:615-322-7821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-05
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program